Unknown Individual – Home Infusion Therapy Pharmacy, NPI 1104919877

Unknown Individual is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Home Infusion Therapy Pharmacy. They hold a License No. 1-7275 (OK). The NPI Number for Unknown Individual is 1104919877

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104919877
Phone
(800) 873-4487
Address
7512 N BROADWAY, SUITE 308
Deactivation Date
1 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 7512 N BROADWAY, SUITE 308

    OKLAHOMA CITY, OK 73116

    Phone: (800) 873-4487

    Fax: (844) 204-8057

    Type: Mailing

  • North Broadway Drive, Oklahoma City, Oklahoma County, Oklahoma, 73103, United States

    SUITE 308

    OKLAHOMA CITY, OK 731169055

    Phone: (800) 873-4487

    Fax: (844) 204-8057

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73116)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1104919877.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Home Infusion Therapy Pharmacy. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Oklahoma City, Oklahoma.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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